Wunderlich, Andrew Warren

Wunderlich, Andrew Warren is an individual health care provider with primary practice located at 2000 Glenwood Ave Suite 107, Joliet IL 60435-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wunderlich, Andrew Warren can be contacted via phone (815) 741-4445.

Contact Information

Primary practice address
2000 Glenwood Ave Suite 107 Joliet IL 60435-5676
Fax: (815) 741-3047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036106187 Illinois

Profile Details

NPI number 1275528341
LBN Legal business name Wunderlich, Andrew Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Aug 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275528341 NPPES
Illinois MEDICAID 036106187

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